Getting StartedSpiritual direction intake questionnaire

Congratulations on having arrived at this page. You've explored my website and recognize that
spiritual direction could meet you at your place of need.

Taking a few minutes now to introduce yourself to me will facilitate our getting acquainted and enable us to accomplish
more when we first connect face-to-face.

Upon completing the intake questionnaire, you and I will both receive an email with your answers. I will get back to you as
soon as possible to confirm that I've received your request. Be assured that I will always hold the things you share in strict confidentiality.

I look forward to coming alongside of you in your life journey. May the God of all hope fill you with all joy and peace as you trust in him,
so that you may overflow with hope by the power of the Holy Spirit. (Romans 15:13) Elizabeth

Spiritual Direction Intake Questionnaire

Please note that all fields followed by an asterisk must be filled in.

First Name*

First Name*

Last Name*

Last Name*

E-mail Address*

E-mail Address*

Street Address*

Street Address*

City*

City*

Country

Home Phone*

Home Phone*

Mobile

Age*

Age*

Gender*

Gender*

Female

Male

Please give a brief account of your spiritual story and development

How would you describe your walk with God at the moment?

Why are you seeking spiritual direction and what do you hope to receive through it?

What are some ways you enjoy connecting with God?

Since the costs for my services are income-dependent, please provide an initial impression of your financial means: